The holder whose full name is Ksiezyc, Kinga I.,come from La Porte IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002593) which status is Expired Non-Renewable.
| Name | Ksiezyc, Kinga I. |
|---|---|
| License Number | XS002593 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | La Porte |
| State | IN |